Individual
JENNIFER BLANCHETTE
Active
Individual
JENNIFER BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LTM
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT02474
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT02474
RHODE ISLAND DEPARTMENT OF HEALTH
RI
Enumeration date
02/03/2021
Last updated
02/03/2021
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